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1396151460
ROSALIE JUDITH JACKVONY
PROVIDENCE, RI
NPI
1396151460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse Critical Care Medicine
(Licence: RI RN31706)
Enumeration Date
2014-07-09
Last Update Date
2014-07-09
Business Address
ROSALIE JUDITH JACKVONY R.N.
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
ROSALIE JUDITH JACKVONY R.N.
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number:
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